We Are Joining Exploration Station®...a children’s museum
Membership Categories (Check One):
___Family Resident $45 ___Family Non-Resident $60
___Grandparent Resident $45 ___Grandparent Non-Resident $60
___Single Parent & Child Resident $35 ___Single Parent & Child Non-Resident $50
ou may add another person to a Family or Grandparent Membership for an additional $10.00. This could be a grandparent, caregiver, or some other person that would accompany your child or children.
CHECK ONE:
___ New Member ___ Renewal ___ Gift
Thank you
for being a member of
Exploration Station®...a
children’s museum.
Memberships, admissions and program fees are the foundation of the children’s museum. If you believe Exploration Station® is important to your family and our community, please consider making a tax deductible donation in addition to your membership this year.
Please make checks payable to: Exploration Station® ...a children’s museum.
ADULTS ___________________________________
Phone (_____)_______________
First
& Last Name
ADDRESS _______________________________________________________________
Street
City/Sate/Zip
List Dependent Children with their Names and Birthdays:
_____________________________ __________________
_____________________________ __________________
_____________________________ __________________
ADDITIONAL CAREGIVER ______________________________________
Enclosed is $_______ Membership Date _______________________
$_______ Donation Visa/MasterCard #_______________________
$_______ Total Signature____________________ Exp. Date __/__/__
Exploration Station®...a children’s museum, 495 N. Kennedy Dr., Bourbonnais, IL 60914